Based on public Medicaid payment data.
David M Hanson
Medicaid Provider in San Felipe, NM
Type
Individual Provider
Address
#4 Cedar Street
San Felipe, NM 87001
Phone
5058675025
NPI
1740341304
Procedures
1
Total Claims
12
Patients Served
12
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $0.00 | 12 | 12 |
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